Identifying Perfusion Cues The nurse is assessing a client with a history of diabetes. The client is reporting pain and discomfort in the legs. A non-healing wound is noted on the posterior ankle with pus-like drainage and strong odor. The client’s skin is cool to touch, pale with noted cyanosis on toenail beds. Unable to feel pedal pulse on effected foot. Client states feet feel “numb.” For each client finding below, click to specify if the finding is consistent with peripheral vascular disease or a skin pressure injury. Each finding may support both client conditions. Peripheral Vascular Disease Skin Pressure Injury Pain Pallor Cyanosis Pulselessness Paresthesia Non-healing ankle wound
Identifying Perfusion Cues The nurse is assessing a client with a history of diabetes
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